Kaitlyn Cassidy, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

120200 Issued in TX

Practice address

280 W Renner Rd Apt 1424
Richardson, TX 75080-1353

Phone

(214) 797-5799

NPI assigned

Jul 19, 2024

Last updated

Jul 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Serenity Pas LLC

  • Rehabilitation Clinic/Center
  • McKinney, TX
  • NPI 1093589616
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1447098702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W RENNER RD APT 1424",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801353",
            "telephone_number": "214-797-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 W RENNER RD APT 1424",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801353",
            "telephone_number": "214-797-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "KAITLYN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "120200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alma Cartwright
• Andre Gallo Carvalho, DDS
• Casa Mossman Dental PLLC (EZ Family Dental)
• Angela K Case-Sutphen, CPNP-AC, PC
• Terri J Casey, MD
• Andrea Castaneda
• Jazmin Castillo Olivera
• Edward O Castillo
• Monica Castillo, OTR
• Jeff Russell Pinson Castro, PHARMD

• Occupational Therapist in Richardson, TX
• Providers in Richardson, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.